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Updated: Jun 8, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
AXL is an essential factor and therapeutic target for metastatic ovarian cancer
Erinn B Rankin1, Katherine C Fuh, Tiffany E Taylor
1Division of Radiation and Cancer Biology, Department of Radiation Oncology, Center for Clinical Sciences Research, Stanford University, Stanford, California 94305-5152, USA.
Abstract:
The receptor tyrosine kinase AXL is thought to play a role in metastasis; however, the therapeutic efficacy of an AXL-targeting agent remains largely untested in metastatic disease. In this study, we defined AXL as a therapeutic target for metastatic ovarian cancer. AXL is primarily expressed in metastases and advanced-stage human ovarian tumors but not in normal ovarian epithelium. Genetic inhibition of AXL in human metastatic ovarian tumor cells is sufficient to prevent the initiation of metastatic disease in vivo. Mechanistically, inhibition of AXL signaling in animals with metastatic disease results in decreased invasion and matrix metalloproteinase activity. Most importantly, soluble human AXL receptors that imposed a specific blockade of the GAS6/AXL pathway had a profound inhibitory effect on progression of established metastatic ovarian cancer without normal tissue toxicity. These results offer the first genetic validation of GAS6/AXL targeting as an effective strategy for inhibition of metastatic tumor progression in vivo. Furthermore, this study defines the soluble AXL receptor as a therapeutic candidate agent for treatment of metastatic ovarian cancer, for which current therapies are ineffective.
Insights
Targeting the AXL receptor tyrosine kinase effectively inhibits metastatic ovarian cancer progression. This study validates AXL as a therapeutic target, showing AXL inhibition reduces invasion and tumor spread without toxicity.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Metastasis
Background:
- The receptor tyrosine kinase AXL is implicated in cancer metastasis.
- Therapeutic strategies targeting AXL in metastatic disease are largely unexplored.
- AXL expression is elevated in advanced ovarian tumors and metastases, but not normal ovarian tissue.
Purpose of the Study:
- To investigate AXL as a therapeutic target for metastatic ovarian cancer.
- To evaluate the efficacy of targeting the GAS6/AXL pathway in vivo.
- To determine the potential of soluble AXL receptors as therapeutic agents.
Main Methods:
- Genetic inhibition of AXL in human metastatic ovarian tumor cells.
- In vivo studies in animal models of metastatic ovarian cancer.
- Administration of soluble human AXL receptors to block the GAS6/AXL pathway.
Main Results:
- Genetic AXL inhibition prevented metastatic disease initiation in vivo.
- AXL inhibition decreased cancer cell invasion and matrix metalloproteinase activity.
- Soluble AXL receptor blockade profoundly inhibited established metastatic ovarian cancer progression with no observed normal tissue toxicity.
Conclusions:
- The GAS6/AXL pathway is genetically validated as a target for inhibiting metastatic tumor progression.
- Soluble AXL receptors represent a promising therapeutic candidate for metastatic ovarian cancer.
- Targeting AXL offers a novel strategy for treating ovarian cancer with limited effective therapies.
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